A client has hyperparathyroidism. Which intervention is the priority for the nurse to add to the client's plan of care?
a. Instruct the client to place both hands be-hind the neck when moving.
b. Use a lift sheet to assist the client with position changes.
c. Instruct the client to use a soft-bristled toothbrush.
d. Strain all urine for at least 24 hours and send stones to the laboratory.
B
Hyperparathyroidism causes increased resorption of calcium from the bones, increasing the risk for pathologic fractures. Using a lift sheet when moving or positioning the client, instead of pulling on the client, reduces the risk of bone injury. Hyperparathyroidism can cause kidney stones, but not every client will need to have urine strained. The priority is preventing injury. Supporting the neck with movement and using a soft toothbrush are not needed for this client.
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During a health fair for older adults, a healthy woman tells the nurse that she thinks she has been losing weight unintentionally during the past 6 weeks. The nurse should
A) instruct the woman to add protein rich, low-fat snacks between meals and at bedtime. B) encourage the woman to purchase a scale with a digital readout to accurately measure her weight on a daily basis. C) explain to the client that the loss of muscle mass that occurs with aging could account for the weight loss. D) ask the client to describe her eating habits and when she last had a checkup by her healthcare provider.
The nurse is a member of the ethics committee. An alert, oriented, and competent 87-year-old man has asked to have a DNAR (AND) prescription put on his chart
The patient's family does not agree with his decision and requests the ethics committee to intervene on their behalf. The ethics committee would most likely use which model in this patient's case? a. Social justice b. Patient benefit c. Autonomy d. DNAR (AND) determination
A nurse at a teen outreach center for pregnant mothers is discussing dental care with patients. Pertinent information for the nurse to teach about would be: (Select all that apply.)
1. Cleaning the infant's teeth with cool, wet washcloths at least every day. 2. Bottles can be given in order for the infant to fall asleep and will not cause damage to the teeth. 3. Juice should not be provided because it increases tooth decay. 4. Providing teething rings can help reduce the pain of teething. 5. Brushing of teeth should only occur every few days.
Which type of research literature would be included in grey literature sources?
a. Book chapters b. Dissertations c. Journal articles d. Textbooks